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    • 71. 发明申请
    • ADVANCED SURGICAL SIMULATION
    • 先进的手术模拟
    • WO2013096632A1
    • 2013-06-27
    • PCT/US2012/070971
    • 2012-12-20
    • APPLIED MEDICAL RESOURCES CORPORATION
    • HART, Charles, C.BRESLIN, Tracy
    • G09B23/28G09B23/30
    • G09B23/34G09B23/285G09B23/30
    • A system for training a clinician in energy-based surgical techniques that advantageously does not require the simulated tissue to be electrically conductive is provided. The simulated tissue comprises at least two materials. A heat generator is configured in the shape of a medical instrument typically encountered in energy-based surgical procedures such as electrosurgery or electrocautery. The instrument delivers sufficient heat to melt at least one of the materials in order to simulate energy-based surgical techniques such as excising target material. The at least two materials are configured in the simulated tissue such that their relative thermoplasticity defines a predetermined surgical pathway of a desired clinical outcome.
    • 提供了一种用于以能量为基础的手术技术训练临床医生的系统,其有利地不需要模拟的组织是导电的。 模拟组织包括至少两种材料。 热发生器被配置为通常在基于能量的外科手术(例如电外科手术或电烙术)中遇到的医疗器械的形状。 仪器提供足够的热量以熔化至少一种材料,以模拟基于能量的手术技术,例如切除靶材料。 所述至少两种材料被配置在模拟组织中,使得它们的相对热塑性定义了期望的临床结果的预定手术途径。
    • 72. 发明申请
    • SIMULATED TISSUE STRUCTURE FOR SURGICAL TRAINING
    • 用于手术训练的模拟组织结构
    • WO2013059575A1
    • 2013-04-25
    • PCT/US2012/060997
    • 2012-10-19
    • APPLIED MEDICAL RESOURCES CORPORATION
    • HOKE, AdamBRESLIN, TracyHART, Charles, C.BOLANOS, Eduardo
    • G09B23/34
    • G09B23/34G09B23/28G09B23/30
    • A simulated tissue structure for practicing surgical techniques is provided. In particular, a realistic organ model or tissue portion for practicing the removal of a tumor or other undesired tissue followed by suturing a remnant defect as part of the same surgical procedure is provided. The simulated tissue structure includes an artificial tumor disposed between layers of elastomeric material and mounted on a simulated organ wall or tissue portion. The simulated tissue structure is modular and interchangeable. At least one of the layers includes a mesh reinforcement. A defect comprising two juxtapositioned surfaces defining a gap between the surfaces is created in the simulated tissue structure and the trainee practices tumor removal and closure of the gap by suturing in a laparoscopic environment.
    • 提供了一种用于实践手术技术的模拟组织结构。 特别地,提供了用于实践去除肿瘤或其它不需要的组织的实际器官模型或组织部分,随后缝合残余缺损作为相同外科手术的一部分。 模拟的组织结构包括设置在弹性体材料层之间并安装在模拟器官壁或组织部分上的人造肿瘤。 模拟的组织结构是模块化和可互换的。 这些层中的至少一个包括网状加强件。 在模拟的组织结构中产生包含限定表面之间的间隙的两个并置表面的缺陷,受训者通过在腹腔镜环境中缝合来实现肿瘤移除和间隙闭合。
    • 73. 发明申请
    • SURGICAL ACCESS DEVICE WITH PENDENT VALVE
    • 带有阀的外科手术装置
    • WO2004033004A1
    • 2004-04-22
    • PCT/US2003/029442
    • 2003-09-16
    • APPLIED MEDICAL RESOURCES CORPORATION
    • HART, Charles, C.BRUSTAD, John, R.HILAL, NabilKAHLE, Henry
    • A61M5/178
    • A61B17/3498A61B17/3423A61B17/3462A61B2017/3464
    • A surgical access device, such as a trocar (10), includes a pendent valve (40) having an elongate structure (50) extending from a proximal end to a septum valve (56) disposed at a distal end. In operation, the elongate structure (50) follows the angle of the instrument (21) to pre-position the septum valve (56) into the path of the instrument (21) where it is not significantly challenged during instrument insertion or manipulation. The pendant valve (40) can be made to float at both the proximal end and the distal end of the elongate structure (50), to further reduce the vulnerability of the septum valve (56). Since the valve (56) is less vulnerable to instrument insertion (21), it can be formed to minimize friction and maximize the functional range of the access device.
    • 外科进入装置,例如套管针(10),包括具有从近端延伸到设置在远端的隔膜阀(56)的细长结构(50)的侧向阀(40)。 在操作中,细长结构(50)遵循仪器(21)的角度,以将隔膜阀(56)预先定位到仪器(21)的路径中,在仪器插入或操纵期间,隔膜阀不会受到严重的挑战。 悬挂阀(40)可以制成在细长结构(50)的近端和远端的两端浮动,以进一步减小隔膜阀(56)的脆弱性。 由于阀(56)不易受器械插入(21)的影响,因此可以形成为使摩擦力最小化并使接入装置的功能范围最大化。
    • 74. 发明申请
    • LAPAROSCOPIC SURGICAL CLAMP
    • LAPAROSCOPIC手术夹
    • WO1998000066A1
    • 1998-01-08
    • PCT/US1997011270
    • 1997-07-02
    • APPLIED MEDICAL RESOURCES CORPORATION
    • APPLIED MEDICAL RESOURCES CORPORATIONSACKIER, Jonathan, M.JONES, Michael, L.DOLENDO, Edward, E.HART, Charles, C.
    • A61B17/08
    • A61B17/1285A61B17/122A61B2017/2837
    • A surgical clamp (10) combination includes a clamp movable between a free state and operable state, the clamp (10) including a pair of jaws (36, 38) which can be operated to occlude a body conduit. A clamp applier (12) is adapted to releasably engage the clamp (10) in the free state and to operate the clamp (10) in the operable state to close the jaws (36, 38). The applier (12) has a housing (21) disposed at a proximal end and a tube operable state. A first shaft (58) is disposed within the tube (23) and movable between an extended position to releasably hold the clamp (10) in the operable state. With the clamp (10) in the operable state, a second shaft is movable by operation of a handle, to alternatively move a pin (254) in opposite directions, along a line normal to an axis of the second shaft, to pen and close the jaws (36, 38) of the clamp (10).
    • 手术夹具(10)组合包括可在自由状态和可操作状态之间移动的夹具,所述夹具(10)包括一对钳口(36,38),所述钳口可被操作以闭塞体导管。 夹具施加器(12)适于在自由状态下可释放地接合夹具(10)并且将夹具(10)操作在可操作状态以封闭夹爪(36,38)。 施加器(12)具有设置在近端和管可操作状态的壳体(21)。 第一轴(58)设置在管(23)内并在可释放地将夹具(10)保持在可操作状态的延伸位置之间移动。 通过夹具(10)处于可操作状态,第二轴可通过手柄的操作而移动,以沿着与第二轴的轴线垂直的线沿相反的方向交替地移动销(254) 夹具(10)的夹爪(36,38)。
    • 75. 发明申请
    • T-ANCHOR SUTURING DEVICE AND METHOD FOR USING SAME
    • T型锚固装置及其使用方法
    • WO1997023157A2
    • 1997-07-03
    • PCT/US1996020488
    • 1996-12-20
    • APPLIED MEDICAL RESOURCES CORPORATION
    • APPLIED MEDICAL RESOURCES CORPORATIONHART, Charles, C.
    • A61B00/00
    • A61B17/0401A61B17/06109A61B2017/0404A61B2017/0409A61B2017/0417A61B2017/0458A61B2017/0464A61B2017/061
    • A surgical appparatus includes a needle having an outer surface and an anchor bar disposed in sliding engagement with the needle. A suture has a first end attached to the anchor bar and a second end extending laterally of the anchor bar and outwardly of the needle. A pusher is movable coaxially of the needle to engage the anchor bar and to separate the anchor bar from the needle to form an anchor relative to a body wall. The anchor bar may have an outer surface with an inclined relationship to its longitudinal axis in order to facilitate axial insertion of the anchor bar through the body wall. An associated method for anchoring a pair of body walls includes the step of attaching a bolster to the second end of the suture and separating the anchor bar from the needle with the anchor bar and the first end of the suture disposed on one side of the body wall and the second end of the suture disposed on the other side of the body wall.
    • 手术装置包括具有外表面的针和与针滑动接合的锚杆。 缝合线具有附接到锚杆的第一端和从锚杆横向延伸并且在针外侧延伸的第二端。 推动器可与针同轴移动以接合锚杆并且将锚杆与针分离以相对于身体壁形成锚固件。 锚杆可以具有与其纵向轴线倾斜的外表面,以便于锚杆通过主体壁的轴向插入。 用于锚定一对身体壁的相关联的方法包括将锚固件连接到缝合线的第二端并且将锚杆与针头分离的锚杆,并且缝合线的第一端设置在主体的一侧上 并且缝合线的第二端设置在体壁的另一侧上。
    • 76. 发明申请
    • INTRALUMINAL EXTRACTION CATHETER
    • 内脏提取物
    • WO1997017889A1
    • 1997-05-22
    • PCT/US1996017598
    • 1996-11-04
    • APPLIED MEDICAL RESOURCES CORPORATION
    • APPLIED MEDICAL RESOURCES CORPORATIONHART, Charles, C.
    • A61B05/00
    • A61M25/10A61B17/22031A61B17/22032A61B17/320725A61B2017/22034A61M25/1002A61M25/1011A61M29/02A61M2025/1068A61M2025/1072A61M2025/109
    • The expandable intraluminal catheter (10) is used for removing occlusive material from a body passage. The catheter includes a handle (12) having both a proximal handle end and a distal handle end. Attached to the distal handle end is an elongate tubular body (16) which includes a proximal elongate tubular body end and a distal elongate tubular body end (15). The elongate tubular body further includes a lumen (46) between the proximal elongate tubular body end and the distal elongate tubular body end. A number of radially expandable segments (17) are disposed on the elongate tubular body near the distal elongate tubular body end. These radially expandable segments can be mechanically activated by a user when the distal elongate tubular body end is within a blood vessel, to thereby contact and partition occlusive material within the blood vessel. The partitioned occlusive material within the blood vessel can then be removed.
    • 可扩张的管腔内导管(10)用于从身体通道中去除闭塞性材料。 导管包括具有近端手柄端和远端手柄端的手柄(12)。 附接到远侧手柄端部的是细长的管状体(16),其包括近端细长管状体端部和远端细长管状体端部(15)。 细长管状体还包括在近端细长管状本体端和远端细长管状本体端之间的内腔(46)。 多个可径向扩张的区段(17)设置在远端细长管状体端部附近的细长管状体上。 当远端细长管状体端部位于血管内时,这些可径向扩张的区段可由使用者机械地启动,从而接触和分隔血管内的闭塞性材料。 然后可以移除血管内的分隔闭塞材料。
    • 80. 发明申请
    • SURGICAL TROCAR WITH CUTOFF CIRCUIT
    • 带切口电路的外科手术
    • WO1994023658A1
    • 1994-10-27
    • PCT/US1994003607
    • 1994-04-01
    • APPLIED MEDICAL RESOURCES CORPORATION
    • APPLIED MEDICAL RESOURCES CORPORATIONHART, Charles, C.HILAL, NabilSHABAZ, Martin, V.RITCHART, Mark, A.
    • A61B17/36
    • A61B17/3476A61B17/3494
    • A surgical trocar (10) includes an operative sleeve (32) adapted for disposition across a tissue barrier and an obturator (36) removably disposed in the sleeve. An obturator (36) includes a cutting element (42) which is operable to cut the tissue. The obturator (36) and the operative sleeve (32) can be advanced through the cut tissue and the obturator (36) removed leaving the sleeve (32) operatively disposed for further surgery. A cutoff and reset mechanism (67) is responsive to a condition present when the obturator (36) penetrates the tissue barrier to inhibit further cutting by the cutting element (42). A reset mechanism is manually operable through the conscious efforts of the surgeon to reset the trocar (10) should further cutting be desired. The cutoff and reset mechanisms can be embodied mechanically as well as electrically and adapted to both mechanical and electrosurgical trocars.
    • 手术套管针(10)包括适于跨组织屏障布置的操作套筒(32)和可拆卸地设置在套筒中的闭塞器(36)。 闭塞器(36)包括可切割组织的切割元件(42)。 闭塞器(36)和操作套筒(32)可以推进穿过切割的组织,并且去除离开套筒(32)的闭孔器(36)可操作地设置用于进一步手术。 截止和复位机构(67)响应于当闭塞器(36)穿透组织屏障时存在的状况,以阻止切割元件(42)的进一步切割。 复位机构可以通过外科医生的意识努力来手动操作以重新设定套管针(10),如果需要进一步切割。 切断和复位机构可机械地实现,并且电气地适用于机械和电外科套针。